Organization
GREENVILLE HEALTH SYSTEM
Active
Other names
GHS PATEWOOD OP CENTER BLDG A
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT / CEO)
(864) 455-7978
Entity
Organization
Contact information
Practice address
200 PATEWOOD DR, BUILDING A, GREENVILLE, SC 29615-3593
(864) 454-2604
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-0900
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
---------------194
BLUE CHOICE
SC
01
—
--------------194
BCBS
SC
01
—
-------------194
CHAMPUS / TRICARE
SC
01
—
197266
MEDCOST
SC
01
—
323510
MULTIPLAN
SC
05
—
400293
—
SC
01
—
420102
MEDICARE A
SC
01
—
6055895
CIGNA
SC
01
—
7956918
AETNA
SC
01
—
7981966170001
GREAT WEST
SC
01
—
8724
MEDICARE B
SC
Enumeration date
02/27/2014
Last updated
01/15/2015
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